| Doctor Name: | MICHAEL WALTER NOVAK |
| NPI Number: | 1043345994 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | PA17007 |
| Business Practice Address: | 31 Easter Avenue Weaverville, CA - 96093 |
| Business Phone Number: | 5306234186 |
| Business Fax Number: | 5306234397 |
| Mailing Address: | Po Box 1229, 31 Easter Avenue WEAVERVILLE |
| State: | CA |
| Postal Code: | 960931229 |
| Phone Number: | 5306234816 |
| Fax Number: | 5306234397 |
| NPI Enumeration Date: | 02/22/2007 |
| NPI Last Update Date: | 05/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA17007 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |